Active NPI
Victoria Nicole Balducci, PT
- Physical Therapist
- Mechanicsville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305214729
- Practice address
- 8201 Atlee Rd Ste D
Mechanicsville, VA 23116-1815 - Phone
- (804) 569-1787
- Fax
- (804) 569-9787
- NPI assigned
- Jul 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305214729 | VA | Primary |
Addresses
Primary practice location
8201 Atlee Rd Ste D
Mechanicsville, VA 23116-1815
Mailing address
8201 Atlee Rd Ste D
Mechanicsville, VA 23116-1815
Phone (804) 569-1787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, SC, DC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3925 Downs Dr
Chantilly, VA 20151-3308
Phone (703) 810-3992
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305214729 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthosc, LLC | Current | Accepting new patients | |
| Fox Rehabilitation Services LLC | Physical Therapist | Current | Accepting new patients |
| Orthosc, LLC | Current | Accepting new patients | |
| Orthosc, LLC | Past | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
2376 Cypress Cir
Ste 300
Conway, SC 29526
Phone (843) 347-7222
210 Village Center Blvd
Ste 140
Myrtle Beach, SC 29579
Phone (843) 333-8385
1621 Highway 17 N
North Myrtle Beach, SC 29582
Phone (843) 335-3346
20 E Piccadilly St
Ste 1114
Winchester, VA 22601
Interoperability endpoints
- victoria.balducci.1@17161.direct.athenahealth.com
- https://api.platform.athenahealth.com/17161/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Conway, SC
- NPI 1275369787
-
- Orthopaedic Surgery Physician
- North Myrtle Beach, SC
- NPI 1568100691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1457924110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 ATLEE RD STE D",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231161815",
"telephone_number": "804-569-1787",
"fax_number": "804-569-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 ATLEE RD STE D",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231161815",
"telephone_number": "804-569-1787",
"fax_number": "804-569-9787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDUCCI",
"first_name": "VICTORIA",
"middle_name": "NICOLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-21",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305214729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.